Spine literature: Positive Preprocedure Depression Screening Is Associated With Worse Outcomes After Single-Level Posterior-Only Lumbar Fusion: A Retrospective Cohort Analysis.

Summary (English)

Educational summary of peer-reviewed work on spinal disorders (not medical advice).

Article: Positive Preprocedure Depression Screening Is Associated With Worse Outcomes After Single-Level Posterior-Only Lumbar Fusion: A Retrospective Cohort Analysis.

Authors (excerpt): Emily Xu, Ritesh Karsalia, John Arena, Aidan Gor, Rainer D Malhotra

Overview: BACKGROUND AND OBJECTIVES: Major depressive disorder affects approximately 10% of all adults in the United States, but the condition remains underdiagnosed for patients with degenerative spine disease and radicular pain. The impact of comorbid undiagnosed depression on postoperative outcomes after lumbar fusion is not well characterized and may contribute to excessive health care utilization. This study isolates the relationship between undiagnosed depression, assessed by the Patient Health Questionnaire 2 (PHQ-2) screening tool, and short-term postoperative outcomes after single-level posterior lumbar fusion. METHODS: PHQ-2 data were prospectively collected, and retrospectively reviewed, among consecutive patients (n = 3225) undergoing single-level posterior-only lumbar spinal fusion surgery over 10 years at a multihospital academic medical center. Coarsened exact matching analysis was performed to match patients on factors known…

Full citation: Positive Preprocedure Depression Screening Is Associated With Worse Outcomes After Single-Level Posterior-Only Lumbar Fusion: A Retrospective Cohort Analysis.. Neurosurgery. PubMed: PMID 40903453; DOI: 10.1227/neu.0000000000003644.

Consult the original paper for methods, statistics, and clinical applicability.

Summary (Bulgarian)

Това е обобщение за пациенти и специалисти, базирано на официалното резюме в PubMed. Публикацията е в списание Neurosurgery и засяга теми, свързани с гръбначния стълб (диагностика, лечение или епидемиология — според съдържанието на оригиналната статия). Не замества очен преглед при лекар и не представлява персонализиран медицински съвет.

Заглавие: Spine literature: Positive Preprocedure Depression Screening Is Associated With Worse Outcomes After Single-Level Posterior-Only Lumbar Fusion: A Retrospective Cohort Analysis.

Оригинално резюме (английски, съкратено): BACKGROUND AND OBJECTIVES: Major depressive disorder affects approximately 10% of all adults in the United States, but the condition remains underdiagnosed for patients with degenerative spine disease and radicular pain. The impact of comorbid undiagnosed depression on postoperative outcomes after lumbar fusion is not well characterized and may contribute to excessive health care utilization. This study isolates the relationship between undiagnosed depression, assessed by the Patient Health Questionnaire 2 (PHQ-2) screening tool, and short-term postoperative outcomes after single-level posterior lumbar fusion. METHODS: PHQ-2 data were prospectively collected, and retrospectively reviewed, among consecutive patients (n = 3225) undergoing single-level posterior-only…

Source: Positive Preprocedure Depression Screening Is Associated With Worse Outcomes After Single-Level Posterior-Only Lumbar Fusion: A Retrospective Cohort Analysis.. Neurosurgery. PubMed: PMID 40903453; DOI: 10.1227/neu.0000000000003644.